Register for First Steps - Howell Dance Dance Classes Howell NJ, Dance Lessons Monmouth County NJ

Register Now for First Steps

Please complete the form below. When you submit, you will pay with a credit card via PayPal. We will contact you shortly to confirm your registration. Thank you!

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Parent’s or Guardian’s Name(Required)

Phone(Required)

Email(Required)

Address

Street Address City State ZIP Code

Any Other Emergency Contact Info. (if desired)

Parent’s or Guardian’s Digital Signature:(Required)

Student Information

Student’s Name

Prefers to be called

Student's Age

Date of Birth

School Attending

Medical Concerns (if any)

Required Consent

You must agree to the terms and conditions listed below for you and your child(ren) to participate in this program.

Select Time Slot for Classes On 3/5, 3/12, 3/19, 3/26, 4/9, 4/16

Put a number one in the quantity field. Select the time of the class you would like to register this student for. After you submit the form, you will pay via paypal with a credit card.

Thursday Mornings: 10:30 am - 11 pm

One session, 6 weeks

Price: $95.00

Total

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